Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
LEVOCARNITINE 1 G INJ
Austin, TX
See all hospitals reporting HCPCS J1955 →Price type
St. David's Medical Center’s median price of $110 is 105% above the median hospital's median price ($54), higher than 75% of the 1,685 hospitals reporting HCPCS J1955. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 4 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 5 | UnitedHealthcare narrownetworkhix fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 6 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 7 | UnitedHealthcare smallgroup fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 8 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 9 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 10 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 11 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 12 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 13 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 14 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 15 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 16 | Blue Cross Blue Shield ppo fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 17 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 18 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 19 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 21 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 22 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $233 | $224 | $19 | 8% | — | $198 – $242 |
| 23 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $260 | $260 | — | — | — | $260 – $260 |
| 24 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $294 | $294 | — | — | — | $294 – $294 |
Last updated: Sep 1, 2026
See Levocarnitine injection, per gram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.